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Laparoscopic Management of T4 Tumor and Pelvic Exenteration for Locally Advanced Tumors
Published in Haribhakti Sanjiv, Laparoscopic Colorectal Surgery, 2020
When total pelvic exenteration is done in male patients with abdominoperineal resection and cystoprostatectomy, then the perineal wound itself provides passage for the removal of specimen. In cases where cystoprostatectomy is planned with anterior resection of the rectum, the specimen can be retrieved through a lower midline or Pfannelsteil incision. The ileal conduit, with ureteric implantation and insertion of the anvil of a circular stapler in the proximal end of the colon can be done through the same incision.
Rare primary extranodal sites (genitourinary, adrenal, cardiac, meningeal, esophageal, pancreatic, gall bladder, and soft tissue lymphomas)
Published in Franco Cavalli, Harald Stein, Emanuele Zucca, Extranodal Lymphomas, 2008
Luciano Wannesson, Armando López-Guillermo
Several therapeutic modalities have been reported, including prostatectomy, radiotherapy, chemotherapy, and even cystoprostatectomy. However, the best therapeutic approach for primary lymphoma of the prostate is chemotherapy.19 Among the 23 cases of primary lymphoma of the prostate from Japan, 3 of 5 cases treated with radiotherapy or radical prostatectomy resulted in death or progression. On the other hand, 11 out of 16 cases (69%) that received chemotherapy alone or associated with other treatments achieved complete remission.19
Complications of Urinary Diversion
Published in Kevin R. Loughlin, Complications of Urologic Surgery and Practice, 2007
Gregory S. Adey, Robert C. Eyre
Diversion of urine following radical cystoprostatectomy has a long history in the urologic literature. Although the first orthotopic urinary reconstruction was proposed in 1888 (1), it was not until the 1950s when this idea was reactivated. In 1935, Seiffert was the first to introduce the ileal conduit (2). In the 1950s, Bricker and others popularized the ileal conduit urinary diversion (3). Since that time, urinary diversions have expanded to include conduits, continent catheterizable reservoirs (CCR), and orthotopic bladder substitutions (OBS). In this chapter, we will examine the complications associated with each type of urinary diversion.
Higher nodal yield with robot-assisted pelvic lymph node dissection for bladder cancer compared to laparoscopic dissection: implications for more accurate staging
Published in Arab Journal of Urology, 2021
Amandeep Arora, Felipe Pugliesi, Ahmed S. Zugail, Marco Moschini, Cristiano Pazeto, Petr Macek, Armando Stabile, Camille Lanz, Nathalie Cathala, Mostefa Bennamoun, Rafael Sanchez-Salas, Xavier Cathelineau
Data were collected for age, gender, height, weight, body mass index (BMI), American Society of Anesthesiologists (ASA) score, age-adjusted Charlson Comorbidity Index (ACCI), whether NAC was received (for patients undergoing RC for urothelial MIBC), histological type of malignancy, pathological T and N stages, number of LNs resected (LN yield), number of positive LNs, carcinoma in situ (CIS), and margin positivity. Male patients underwent either a radical cystoprostatectomy or a prostate-sparing cystectomy, while females underwent an anterior pelvic exenteration. Up to 2011, patients underwent a ‘standard’ PLND (S-PLND) limited by the common iliac bifurcation superiorly, Cooper’s ligament inferiorly, genitofemoral nerve laterally and obturator nerve medially. From 2012 onwards, an E-PLND was performed with its cranial limit being the aortic bifurcation. LN packets were placed in a common bag. Either the right or left packet was clip identified for pathological information. The right-side packet included the presacral dissection if this was performed. An adequate S- and E-PLND were defined as those which yielded at least 10 and 16 LNs, respectively. These numbers were chosen based on previous studies that looked at the minimum number of LNs to be removed for an optimal dissection [7,20–22].
Oncological safety of simultaneous transurethral resection of high-grade urothelial carcinoma of the bladder and benign prostatic hyperplasia
Published in Arab Journal of Urology, 2023
Ben Valery Sionov, Matvey Tsivian, Pavel Bakaleyschik, Ami Abraham Sidi, Alexander Tsivian
Multivariate analysis is shown in Table 3 and indicates that tumor multifocality was associated with recurrence in both groups (odds ratio 2.41 in group 1 vs. 2.72 in group 2). In contrast, a higher T stage was associated with a higher risk of prostate recurrence (odds ratio, 1.70 in group 1 vs. 3.54 in group 2). The rates of progression to MIBC were similar in both groups, 12.2% in group 1 vs. 17.1% in group 2 (p = 0.327). Of these, 5 and 3 patients from group 1 and group 2 underwent radical cystoprostatectomy, respectively.
Quality of life among patients after cystoprostatectomy as the treatment for locally advanced prostate cancer with bladder invasion
Published in The Aging Male, 2020
Peng Yuan, Shen Wang, Xifeng Sun, Hua Xu, Zhangqun Ye, Zhiqiang Chen
Based on the results in this study, cystoprostatectomy, as the initial part of multi-modal therapy combined with adjuvant therapy, may be recommended to highly selected LAPC patients with the bladder invasion especially those suffering from severe urinary syndromes caused by the bladder invasion. Cystoprostatectomy can meet the demands of excellent tumor control by expanded removal, and postoperative QoL can be satisfied by improving urinary symptoms and few complications.